DOUGLAS K. DEW, M.D., P.A.

Company Details

Entity Name:	DOUGLAS K. DEW, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	09 Jul 1990 (35 years ago)
Document Number:	L85777
FEI/EIN Number	593022418
Mail Address:	7023 North Oceanshore Blvd, Palm Coast, FL, 32137, US
Address:	201 HEALTHPARK BLVD, SUITE 101, ST. AUGUSTINE, FL, 32086, US
ZIP code:	32086
County:	St. Johns
Place of Formation:	FLORIDA

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1174521942

2005-07-14

2016-04-07

PO BOX 1459, PALATKA, FL, 321781459, US

6050 SAINT JOHNS AVE, SUITE 3, PALATKA, FL, 321776860, US

Contacts

Phone	+1 904-825-2737
Fax	9048252303

Authorized person

Taxonomy

Name	Role	Address
DEW, DOUGLAS K. M.D., P.A.	Agent	201 HEALTHPARK BLVD, ST. AUGUSTINE, FL, 32086

Name	Role	Address
DEW, DOUGLAS K.	Manager	201 HEALTHPARK BLVD, ST. AUGUSTINE, FL, 32086

Name	Role	Address
DEW, DOUGLAS K.	Director	201 HEALTHPARK BLVD, ST. AUGUSTINE, FL, 32086

Name	Role	Address
DEW ERICA M	PM	201 HEALTHPARK BLVD, ST. AUGUSTINE, FL, 32086

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G14000054293	ST. JOHNS SHOULDER, KNEE & JOINT CLINIC	EXPIRED	2014-06-05	2019-12-31	No data	P O BOX 1459, PALATKA, FL, 32178

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J18000111567	TERMINATED	1000000775785	ST JOHNS	2018-03-08	2038-03-14	$ 4,497.94	STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179

Date of last update: 02 Jan 2025